Medical Coding is the core element of the health care revenue cycle. Physician proficiency in coding has a distinct impact on the financial viability of practices as well as the management of regulatory risk. Pinnacle’s Medical Coding and Audit experts work across specialties and organizational types to ensure optimal coding is being achieved by all providers.
Medical Coding / Documentation Audits
Assess whether a provider’s level of service is supported according to correct coding guidelines and documentation standards. Identify improvement opportunities to promote proficiency and compliance.
Compliance / Revenue Risk Assessment
Understanding compliance and revenue risk assessment is vital knowledge for hospital and physician integration. Pinnacle can help discover coding and documentation needs as well as evaluate compliance and revenue risks before or after physician acquisition.
Focused education bolsters knowledge and improves skills for any physician. Pinnacle has expertise in physician education for virtually all specialties and specific procedures.
Staff Education – Certified Professional Coder (CPC) Prep Classes
Pinnacle offers CPC Prep Classes taught by an AAPC-approved instructor who has been trained in the exclusive Professional Medical Coding Curriculum. Students of these classes learn the fundamentals of medical coding and dissect real-world medical cases and charts to extract the most relevant information. Visit AskPHC.com/CPCprep for more information.
Bell Curve Analysis
Medicare uses physician utilization information to target audits. Pinnacle can conduct or assist your organization in comparing a physician’s utilization with others in their specialty, identify outliers and target education resources.
Coding Services (Assistive Coding)
Pinnacle provides short-term, interim and long-term coding services for a variety of specialties. Our cost effective solutions help any size health system or group utilize internal resources and maximize coding efficiency and productivity. These services are often critical to new practice acquisitions.
Collect the money that is owed. Ensure that all services provided are billed and paid at the correct level through detailed reimbursement reviews and denial minimization.
RAC & External Audits
Pinnacle can help organizations prepare for costly government audits and help protect revenue.
Periodic and Targeted Audits
Regular audits provide an opportunity for uncovering coding deficiencies. Our audits complement compliance efforts for both Medicare and private payers.
Electronic Health Record Template
Maximize the efficiency of an organization’s current EHR templates with coding techniques that ensure efficiency with optimal documentation.